Organization
TAN BINH NGUYEN, DDS II, PLLC
Active
Other names
Carolina Comfort Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAN BINH PHAN NGUYEN D.D.S. (OWNER/ MANAGER)
(678) 761-2457
Entity
Organization
Contact information
Practice address
5511 RAEFORD RD STE 225, FAYETTEVILLE, NC 28304-2060
(910) 485-0023
Mailing address
2413 THORNGROVE CT, FAYETTEVILLE, NC 28303-4099
(910) 263-8034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9227
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918338
—
NC
Enumeration date
03/18/2015
Last updated
03/18/2015
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